| NPI | 1992530109 |
|---|---|
| Doing Business As | CODAC BEHAVIORAL HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | ALISHA M BOURDEAU Chief Financial Officer 401-275-5038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-06 |